Kanchana Kapugama

The Mental foramen is the bilateral openings in the lateral surface of the mandible, through which terminal branch of inferior alveolar nerve, mental nerve exit. Mental foramen located between two premolars in majority. Although the common presentation is to have a single foramen in hemi mandible there are reported anatomical variations of having d...

BACKGROUND: Close surgical margin is a high-risk factor for recurrences. Therefore, adjuvant postoperative radiotherapy (PORT) should be started as soon as possible. Due to patient or health care related factors, time of initiating PORT can change. This pilot study aimed to assess the influence of timing of PORT on local recurrences. METHODS: Patie...

BACKGROUND: Lower wisdom tooth removal is a routine oral surgical procedure. Lingual nerve injury is a highly distressful possible complication of this procedure. METHODS: Overall, 834 patients underwent removal of the impacted lower third molar at a single institution by experienced dental surgeons. Fourteen patients reported the complication of...

Background Proper retraction of soft and hard tissues is essential to a successful surgery. The TechniqueThe authors wish to report the use of a self-retaining photography cheek retractor during a Le Fort 1 surgery and an alveolar bone graft surgery which proved beneficial by achieving very good retraction. Conclusion This is an eye opener to modif...

We assessed perceived satisfaction of patients and related factors for treatment provided by the oral surgery student dental clinic of the only Sri Lankan dental school. A descriptive cross-sectional study was conducted among 288 consenting patients who received oral surgery treatment at the student Lanka. A self-administered, validated questionnai...

It was a great pleasure to read the article by Nishimoto et al. 1 where they concluded that it was acceptable to leave behind pulp tissue during coronectomy of the mandibular third molar. The authors enlisted 4 key principles in coronectomy. Out of these, we believe primary wound closure with good healing of the flap is the most important for the s...

This is about the reconstruction of post-operative facial skin defects in patients with oral cancer by using permanent flexible relining material called Molloplast - B.

The first ever recorded historical evidence for surgical drains were found in the era of Hippocrates (circa 460-377 BC). The Greek Physician Hippocrates used hollow tubes for the treatment of empyema. Surgeries of the head and neck region are associated with clinically significant post-operative morbidities such as haematomas, seromas, surgical sit...

The first ever recorded historical evidence for surgical drains were found in the era of Hippocrates (circa 460-377 BC). The Greek Physician Hippocrates used hollow tubes for the treatment of empyema. Surgeries of the head and neck region are associated with clinically significant post-operative morbidities such as haematomas, seromas, surgical sit...

Bee Honey wound Dressing

Oral Squamous Cell Carcinoma: are we over treating? R M S H B Medawela1, N Ravisankar 2, A M Attygalla 3, K G K D Kapugama 3, N S S Jayasuriya3 1 Registrar in Oral and Maxillofacial Surgery, Maxillofacial surgery unit, Dental Hospital (teaching) Peradeniya 2 Fellow in Oral and Maxillofacial Surgery, Maxillofacial surgery unit, Faculty of Dental Sci...

The effect of scars in orofacial region can greatly affect the aesthetics and functions. Scar formation in the Oro-facial region can also be associated with the surgical management of an oral cancer. Silicone gel sheeting has been widely used in the treatment of hypertrophic scars and keloids. This is a case report of a 62 years old male German cit...

The user has requested enhancement of the downloaded file. Abstract A single or multiple factors may contribute to delayed eruption of permanent teeth. Pathologies of the primary dentition is one of the entities which gives rise to mechanical obstruction or impairment of the physiological process of tooth eruption. When the eruption is delayed part...

Multiple calcified hyperplastic dental follicles (MCHDF) are an extremely rare condition which has been categorized as a separate pathological entity very recently. It was initially described by Sandler et al. Gardner and Radden proposed this as a separate pathological entity. This disease is characterized by multiple unerupted teeth with abundant...

Introduction: Keratocystic Odontogenic Tumour (KCOT) represent 4-10% of all odontogenic tumours and 5% of those cases are involved in nevoid basal cell carcinoma syndrome (NBCCS). Objectives: To investigate the patterns and behavior of KCOT and its association with Gorlin-goltz syndrome in a cohort of Sri Lankan patients. Materials and Methods: A r...

The temporomandibular joint (TMJ) is the most active, functioning joint of the body. Limitations of the mouth opening and deformity of the lower jaw can be caused by bony or fibrous ankylosis of the TMJ due to various reasons and mostly is due to fusion of the condyle to the base of the skull. Trauma to the TMJ is the most common etiology of ankylo...